| NPI | 1982083952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHIA SHIFFON ZIMMERMAN CEO 301-728-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5376) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2024-07-17 |